MEDICARE: STEPHANIE ANN LEVY LMHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	15964	CA
2	1041C0700X	Clinical Social Worker	3136	NE

General Provider Information

NPI Number	:	1700923240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ANN LEVY LMHP

Provider Business Mailing Address
First Line	:	338 N ALLEN ST
Second Line	:
City	:	BENNINGTON
State	:	NE
Zip	:	68007-5050
Country	:	US
Telephone Number	:	402-709-2213
Fax Number	:

Provider Business Practice Location Address
First Line	:	1710 N 144TH ST STE 2
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68154-4715
Country	:	US
Telephone Number	:	402-403-9890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	01/23/2023

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Directions to “ STEPHANIE ANN LEVY LMHP” Practice Location

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